An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation,...
taxonomy 183500000X
Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
GA license #007093taxonomy 3336C0003X
Pharmacy
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
taxonomy 3336C0004X
Identifiers
Type
Value
Notes
01
1134927
NCPDP PROVIDER IDENTIFICATION NUMBER
05 (GA)
403928A
Other names on file (3)
Doing-business-as, former, and alternate names recorded by NPPES.
LEE GOODRUM EASTSIDE PHARMACY
Type code 3recorded 2020-07-17
White Oak Pharmacy, Inc.
Type code 4recorded 2020-07-17
LEE GOODRUM EASTSIDE PHARMACY
Type code 3recorded 2009-02-26
Practice context
Single-site organization. Only one practice location on file.
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